Candice Conn Bankruptcy .pdf

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Title: Bankruptcy Forms
Author: Maureen P. Steady - s/n:38870

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Case 09-16110-elf

Doc 1

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Document
Page 1 of 51


B1 (Official Form 1)(1/08)

United States Bankruptcy Court

Desc Main


Voluntary Petition

Eastern District of Pennsylvania
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Name of Joint Debtor (Spouse) (Last, First, Middle):

Name of Debtor (if individual, enter Last, First, Middle):

Conn, Candice
All Other Names used by the Debtor in the last 8 years
(include married, maiden, and trade names):

All Other Names used by the Joint Debtor in the last 8 years
(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN

(if more than one, state all)

(if more than one, state all)

xxx-xx-7165
Street Address of Joint Debtor (No. and Street, City, and State):

Street Address of Debtor (No. and Street, City, and State):

32 Island Road
Levittown, PA
ZIP Code

ZIP Code

19057
County of Residence or of the Principal Place of Business:

County of Residence or of the Principal Place of Business:

Bucks
Mailing Address of Joint Debtor (if different from street address):

Mailing Address of Debtor (if different from street address):

ZIP Code

ZIP Code

Location of Principal Assets of Business Debtor
(if different from street address above):

Type of Debtor

Nature of Business

(Form of Organization)
(Check one box)

(Check one box)

Individual (includes Joint Debtors)
See Exhibit D on page 2 of this form.
Corporation (includes LLC and LLP)
Partnership
Other (If debtor is not one of the above entities,
check this box and state type of entity below.)

Chapter of Bankruptcy Code Under Which
the Petition is Filed (Check one box)

Health Care Business
Single Asset Real Estate as defined
in 11 U.S.C. § 101 (51B)
Railroad
Stockbroker
Commodity Broker
Clearing Bank
Other

Chapter 7
Chapter 9
Chapter 11
Chapter 12
Chapter 13

(Check one box)

(Check box, if applicable)

Debtor is a tax-exempt organization
under Title 26 of the United States
Code (the Internal Revenue Code).
Filing Fee (Check one box)
Full Filing Fee attached
Filing Fee to be paid in installments (applicable to individuals only). Must
attach signed application for the court's consideration certifying that the debtor
is unable to pay fee except in installments. Rule 1006(b). See Official Form 3A.

Debts are primarily consumer debts,
defined in 11 U.S.C. § 101(8) as
"incurred by an individual primarily for
a personal, family, or household purpose."

THIS SPACE IS FOR COURT USE ONLY

Estimated Number of Creditors
5099

100199

200999

1,0005,000

5,00110,000

10,00125,000

25,00150,000

50,001100,000

OVER
100,000

$100,001 to
$500,000

$500,001
to $1
million

$1,000,001
to $10
million

$10,000,001
to $50
million

$50,000,001
to $100
million

$100,000,001 $500,000,001 More than
to $500
to $1 billion $1 billion
million

$100,001 to
$500,000

$500,001
to $1
million

$1,000,001
to $10
million

$10,000,001
to $50
million

$50,000,001
to $100
million

$100,000,001 $500,000,001 More than
to $500
to $1 billion $1 billion
million

Estimated Assets
$0 to
$50,000

$50,001 to
$100,000

Estimated Liabilities
$0 to
$50,000

$50,001 to
$100,000

Debts are primarily
business debts.

Chapter 11 Debtors
Check one box:
Debtor is a small business debtor as defined in 11 U.S.C. § 101(51D).
Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).
Check if:
Debtor’s aggregate noncontingent liquidated debts (excluding debts owed
to insiders or affiliates) are less than $2,190,000.
Check all applicable boxes:
A plan is being filed with this petition.
Acceptances of the plan were solicited prepetition from one or more
classes of creditors, in accordance with 11 U.S.C. § 1126(b).

Statistical/Administrative Information
Debtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expenses paid,
there will be no funds available for distribution to unsecured creditors.

149

Chapter 15 Petition for Recognition
of a Foreign Nonmain Proceeding
Nature of Debts

Tax-Exempt Entity

Filing Fee waiver requested (applicable to chapter 7 individuals only). Must
attach signed application for the court's consideration. See Official Form 3B.

Chapter 15 Petition for Recognition
of a Foreign Main Proceeding

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Page 2

Name of Debtor(s):
Conn, Candice

Voluntary Petition
(This page must be completed and filed in every case)
Location
Where Filed: - None -

All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)
Case Number:
Date Filed:

Location
Where Filed:

Case Number:

Date Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)
Name of Debtor:
Case Number:
Date Filed:
- None District:

Relationship:

Judge:
Exhibit B

Exhibit A

(To be completed if debtor is an individual whose debts are primarily consumer debts.)

(To be completed if debtor is required to file periodic reports (e.g.,
forms 10K and 10Q) with the Securities and Exchange Commission
pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
and is requesting relief under chapter 11.)

I, the attorney for the petitioner named in the foregoing petition, declare that I
have informed the petitioner that [he or she] may proceed under chapter 7, 11,
12, or 13 of title 11, United States Code, and have explained the relief available
under each such chapter. I further certify that I delivered to the debtor the notice
required by 11 U.S.C. §342(b).

X

Exhibit A is attached and made a part of this petition.

/s/ Maureen P. Steady, Esquire
Signature of Attorney for Debtor(s)

August 17, 2009
(Date)

Maureen P. Steady, Esquire 79698
Exhibit C
Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety?
Yes, and Exhibit C is attached and made a part of this petition.
No.

Exhibit D
(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)
Exhibit D completed and signed by the debtor is attached and made a part of this petition.
If this is a joint petition:
Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.
Information Regarding the Debtor - Venue
(Check any applicable box)
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180
days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.
There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.
Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in
this District, or has no principal place of business or assets in the United States but is a defendant in an action or
proceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the relief
sought in this District.
Certification by a Debtor Who Resides as a Tenant of Residential Property
(Check all applicable boxes)
Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)
(Name of landlord that obtained judgment)

(Address of landlord)

Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to cure
the entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and
Debtor has included in this petition the deposit with the court of any rent that would become due during the 30-day period
after the filing of the petition.
Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. § 362(l)).

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Page 3

Name of Debtor(s):
Conn, Candice

Voluntary Petition
(This page must be completed and filed in every case)

Signatures
Signature(s) of Debtor(s) (Individual/Joint)

Signature of a Foreign Representative

I declare under penalty of perjury that the information provided in this
petition is true and correct.
[If petitioner is an individual whose debts are primarily consumer debts and
has chosen to file under chapter 7] I am aware that I may proceed under
chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief
available under each such chapter, and choose to proceed under chapter 7.
[If no attorney represents me and no bankruptcy petition preparer signs the
petition] I have obtained and read the notice required by 11 U.S.C. §342(b).

I declare under penalty of perjury that the information provided in this petition
is true and correct, that I am the foreign representative of a debtor in a foreign
proceeding, and that I am authorized to file this petition.
(Check only one box.)

I request relief in accordance with chapter 15 of title 11. United States Code.
Certified copies of the documents required by 11 U.S.C. §1515 are attached.
Pursuant to 11 U.S.C. §1511, I request relief in accordance with the chapter
of title 11 specified in this petition. A certified copy of the order granting
recognition of the foreign main proceeding is attached.

I request relief in accordance with the chapter of title 11, United States Code,
specified in this petition.

X

/s/ Candice Conn
Signature of Debtor Candice Conn

X
Signature of Foreign Representative

X

Printed Name of Foreign Representative
Signature of Joint Debtor
Date
Telephone Number (If not represented by attorney)

Signature of Non-Attorney Bankruptcy Petition Preparer

August 17, 2009
Date

I declare under penalty of perjury that: (1) I am a bankruptcy petition
preparer as defined in 11 U.S.C. § 110; (2) I prepared this document for
compensation and have provided the debtor with a copy of this document
and the notices and information required under 11 U.S.C. §§ 110(b),
110(h), and 342(b); and, (3) if rules or guidelines have been promulgated
pursuant to 11 U.S.C. § 110(h) setting a maximum fee for services
chargeable by bankruptcy petition preparers, I have given the debtor notice
of the maximum amount before preparing any document for filing for a
debtor or accepting any fee from the debtor, as required in that section.
Official Form 19 is attached.

Signature of Attorney*

X

/s/ Maureen P. Steady, Esquire
Signature of Attorney for Debtor(s)
Maureen P. Steady, Esquire 79698
Printed Name of Attorney for Debtor(s)
Maureen P. Steady, Esquire
Firm Name
12000 Lincoln Drive West
Suite 208
Marlton, NJ 08053

Printed Name and title, if any, of Bankruptcy Petition Preparer
Social-Security number (If the bankrutpcy petition preparer is not
an individual, state the Social Security number of the officer,
principal, responsible person or partner of the bankruptcy petition
preparer.)(Required by 11 U.S.C. § 110.)

Address
Email: maureen.steady@gmail.com
(856) 396-0540 Fax: (609) 482-8011
Telephone Number
August 17, 2009
Date
*In a case in which § 707(b)(4)(D) applies, this signature also constitutes a
certification that the attorney has no knowledge after an inquiry that the
information in the schedules is incorrect.

Signature of Debtor (Corporation/Partnership)
I declare under penalty of perjury that the information provided in this
petition is true and correct, and that I have been authorized to file this petition
on behalf of the debtor.
The debtor requests relief in accordance with the chapter of title 11, United
States Code, specified in this petition.

Address

X
Date
Signature of Bankruptcy Petition Preparer or officer, principal, responsible
person,or partner whose Social Security number is provided above.
Names and Social-Security numbers of all other individuals who prepared or
assisted in preparing this document unless the bankruptcy petition preparer is
not an individual:

X
Signature of Authorized Individual
Printed Name of Authorized Individual
Title of Authorized Individual
Date

If more than one person prepared this document, attach additional sheets
conforming to the appropriate official form for each person.
A bankruptcy petition preparer’s failure to comply with the provisions of
title 11 and the Federal Rules of Bankruptcy Procedure may result in
fines or imprisonment or both 11 U.S.C. §110; 18 U.S.C. §156.

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B 1D(Official Form 1, Exhibit D) (12/08)

United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn
Debtor(s)

Case No.
Chapter

7

EXHIBIT D - INDIVIDUAL DEBTOR'S STATEMENT OF COMPLIANCE WITH
CREDIT COUNSELING REQUIREMENT
Warning: You must be able to check truthfully one of the five statements regarding credit
counseling listed below. If you cannot do so, you are not eligible to file a bankruptcy case, and the court
can dismiss any case you do file. If that happens, you will lose whatever filing fee you paid, and your
creditors will be able to resume collection activities against you. If your case is dismissed and you file
another bankruptcy case later, you may be required to pay a second filing fee and you may have to take
extra steps to stop creditors' collection activities.
Every individual debtor must file this Exhibit D. If a joint petition is filed, each spouse must complete
and file a separate Exhibit D. Check one of the five statements below and attach any documents as directed.
1. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit
counseling agency approved by the United States trustee or bankruptcy administrator that outlined the
opportunities for available credit counseling and assisted me in performing a related budget analysis, and I have
a certificate from the agency describing the services provided to me. Attach a copy of the certificate and a copy
of any debt repayment plan developed through the agency.
2. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit
counseling agency approved by the United States trustee or bankruptcy administrator that outlined the
opportunities for available credit counseling and assisted me in performing a related budget analysis, but I do
not have a certificate from the agency describing the services provided to me. You must file a copy of a
certificate from the agency describing the services provided to you and a copy of any debt repayment plan
developed through the agency no later than 15 days after your bankruptcy case is filed.
3. I certify that I requested credit counseling services from an approved agency but was unable to
obtain the services during the five days from the time I made my request, and the following exigent
circumstances merit a temporary waiver of the credit counseling requirement so I can file my bankruptcy case
now. [Summarize exigent circumstances here.]
If your certification is satisfactory to the court, you must still obtain the credit counseling briefing
within the first 30 days after you file your bankruptcy petition and promptly file a certificate from the
agency that provided the counseling, together with a copy of any debt management plan developed
through the agency. Failure to fulfill these requirements may result in dismissal of your case. Any
extension of the 30-day deadline can be granted only for cause and is limited to a maximum of 15 days.
Your case may also be dismissed if the court is not satisfied with your reasons for filing your bankruptcy
case without first receiving a credit counseling briefing.
4. I am not required to receive a credit counseling briefing because of: [Check the applicable
statement.] [Must be accompanied by a motion for determination by the court.]
Software Copyright (c) 1996-2009 Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

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B 1D(Official Form 1, Exhibit D) (12/08) - Cont.

Incapacity. (Defined in 11 U.S.C. § 109(h)(4) as impaired by reason of mental illness or
mental deficiency so as to be incapable of realizing and making rational decisions with respect to
financial responsibilities.);
Disability. (Defined in 11 U.S.C. § 109(h)(4) as physically impaired to the extent of being
unable, after reasonable effort, to participate in a credit counseling briefing in person, by telephone, or
through the Internet.);
Active military duty in a military combat zone.
5. The United States trustee or bankruptcy administrator has determined that the credit counseling
requirement of 11 U.S.C. § 109(h) does not apply in this district.
I certify under penalty of perjury that the information provided above is true and correct.
Signature of Debtor:
Date:

/s/ Candice Conn
Candice Conn

August 17, 2009

Software Copyright (c) 1996-2009 Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

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B6 Summary (Official Form 6 - Summary) (12/07)

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United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn

,

Case No.

Debtor
Chapter

7

SUMMARY OF SCHEDULES
Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A,
B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor’s assets.
Add the amounts of all claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors must
also complete the "Statistical Summary of Certain Liabilities and Related Data" if they file a case under chapter 7, 11, or 13.

NAME OF SCHEDULE

ATTACHED
(YES/NO)

NO. OF
SHEETS

ASSETS

LIABILITIES

OTHER

A - Real Property

Yes

1

0.00

B - Personal Property

Yes

3

10,952.00

C - Property Claimed as Exempt

Yes

1

D - Creditors Holding Secured Claims

Yes

1

0.00

E - Creditors Holding Unsecured
Priority Claims (Total of Claims on Schedule E)

Yes

1

0.00

F - Creditors Holding Unsecured
Nonpriority Claims

Yes

12

G - Executory Contracts and
Unexpired Leases

Yes

1

H - Codebtors

Yes

1

I - Current Income of Individual
Debtor(s)

Yes

1

0.00

J - Current Expenditures of Individual
Debtor(s)

Yes

2

2,212.00

Total Number of Sheets of ALL Schedules

368,172.79

24

Total Assets

10,952.00

Total Liabilities

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

368,172.79

Best Case Bankruptcy

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Form 6 - Statistical Summary (12/07)

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United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn

Case No.

,
Debtor

Chapter

7

STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C. § 159)
If you are an individual debtor whose debts are primarily consumer debts, as defined in § 101(8) of the Bankruptcy Code (11 U.S.C.§ 101(8)), filing
a case under chapter 7, 11 or 13, you must report all information requested below.
Check this box if you are an individual debtor whose debts are NOT primarily consumer debts. You are not required to
report any information here.
This information is for statistical purposes only under 28 U.S.C. § 159.
Summarize the following types of liabilities, as reported in the Schedules, and total them.

Type of Liability

Amount

Domestic Support Obligations (from Schedule E)

0.00

Taxes and Certain Other Debts Owed to Governmental Units
(from Schedule E)

0.00

Claims for Death or Personal Injury While Debtor Was Intoxicated
(from Schedule E) (whether disputed or undisputed)

0.00

Student Loan Obligations (from Schedule F)

0.00

Domestic Support, Separation Agreement, and Divorce Decree
Obligations Not Reported on Schedule E

16,428.96

Obligations to Pension or Profit-Sharing, and Other Similar Obligations
(from Schedule F)

0.00

TOTAL

16,428.96

State the following:
Average Income (from Schedule I, Line 16)
Average Expenses (from Schedule J, Line 18)
Current Monthly Income (from Form 22A Line 12; OR,
Form 22B Line 11; OR, Form 22C Line 20 )

0.00
2,212.00
0.00

State the following:
1. Total from Schedule D, "UNSECURED PORTION, IF ANY"
column
2. Total from Schedule E, "AMOUNT ENTITLED TO PRIORITY"
column
3. Total from Schedule E, "AMOUNT NOT ENTITLED TO
PRIORITY, IF ANY" column

0.00
0.00
0.00

4. Total from Schedule F

368,172.79

5. Total of non-priority unsecured debt (sum of 1, 3, and 4)

368,172.79

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

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B6A (Official Form 6A) (12/07)

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In re

Candice Conn

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Case No.

Debtor

SCHEDULE A - REAL PROPERTY
Except as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a
cotenant, community property, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for
the debtor's own benefit. If the debtor is married, state whether husband, wife, both, or the marital community own the property by placing an "H," "W,"
"J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, write "None" under
"Description and Location of Property."
Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity
claims to hold a secured interest in the property, write "None" in the column labeled "Amount of Secured Claim." If the debtor is an individual or
if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property Claimed as Exempt.

Description and Location of Property

Nature of Debtor's
Interest in Property

Current Value of
Husband,
Debtor's Interest in
Wife,
Property, without
Joint, or
any Secured
Community Deducting
Claim or Exemption

Amount of
Secured Claim

None

0

continuation sheets attached to the Schedule of Real Property

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Sub-Total >

0.00

Total >

0.00

(Total of this page)

(Report also on Summary of Schedules)
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B6B (Official Form 6B) (12/07)

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In re

Candice Conn

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Case No.

Debtor

SCHEDULE B - PERSONAL PROPERTY
Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place
an "x" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified
with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, both, or the marital community
own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint
petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt.
Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."
If the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as
"A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Type of Property

1.

Cash on hand

2.

Checking, savings or other financial
accounts, certificates of deposit, or
shares in banks, savings and loan,
thrift, building and loan, and
homestead associations, or credit
unions, brokerage houses, or
cooperatives.

N
O
N
E

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

Description and Location of Property

X
Savings Account - Wachovia Bank P.O. Box 40031,
Roanoke, VA 2401-0031 - ACCT. ENDING 9264

-

1,772.00

WACHOVIA CHECKING - REGIONAL SERVICE
CENTER, PO BOX 40031, ROANOKE, VA
24022-0031 - ACCT. ENDING 1663

-

600.00

Househod Goods, furniture, computer & printer

-

2,300.00

X

3.

Security deposits with public
utilities, telephone companies,
landlords, and others.

4.

Household goods and furnishings,
including audio, video, and
computer equipment.

5.

Books, pictures and other art
objects, antiques, stamp, coin,
record, tape, compact disc, and
other collections or collectibles.

6.

Wearing apparel.

CLOTHING

-

1,000.00

7.

Furs and jewelry.

Miscellaneous jewelry

-

500.00

8.

Firearms and sports, photographic,
and other hobby equipment.

X

9.

Interests in insurance policies.
Name insurance company of each
policy and itemize surrender or
refund value of each.

X

10. Annuities. Itemize and name each
issuer.

X

X

Sub-Total >
(Total of this page)
2

6,172.00

continuation sheets attached to the Schedule of Personal Property

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

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B6B (Official Form 6B) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE B - PERSONAL PROPERTY
(Continuation Sheet)

Type of Property

N
O
N
E

11. Interests in an education IRA as
defined in 26 U.S.C. § 530(b)(1) or
under a qualified State tuition plan
as defined in 26 U.S.C. § 529(b)(1).
Give particulars. (File separately the
record(s) of any such interest(s).
11 U.S.C. § 521(c).)

X

12. Interests in IRA, ERISA, Keogh, or
other pension or profit sharing
plans. Give particulars.

X

13. Stock and interests in incorporated
and unincorporated businesses.
Itemize.

X

14. Interests in partnerships or joint
ventures. Itemize.

X

15. Government and corporate bonds
and other negotiable and
nonnegotiable instruments.

X

16. Accounts receivable.

X

17. Alimony, maintenance, support, and
property settlements to which the
debtor is or may be entitled. Give
particulars.

X

Description and Location of Property

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

18. Other liquidated debts owed to debtor X
including tax refunds. Give particulars.
19. Equitable or future interests, life
estates, and rights or powers
exercisable for the benefit of the
debtor other than those listed in
Schedule A - Real Property.

X

20. Contingent and noncontingent
interests in estate of a decedent,
death benefit plan, life insurance
policy, or trust.

X

21. Other contingent and unliquidated
claims of every nature, including
tax refunds, counterclaims of the
debtor, and rights to setoff claims.
Give estimated value of each.

Potential personal injury law suit.

-

Sub-Total >
(Total of this page)

Unknown

0.00

Sheet 1 of 2
continuation sheets attached
to the Schedule of Personal Property
Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

Case 09-16110-elf

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Page 11 of 51


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B6B (Official Form 6B) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE B - PERSONAL PROPERTY
(Continuation Sheet)

Type of Property

N
O
N
E

22. Patents, copyrights, and other
intellectual property. Give
particulars.

X

23. Licenses, franchises, and other
general intangibles. Give
particulars.

X

24. Customer lists or other compilations
containing personally identifiable
information (as defined in 11 U.S.C.
§ 101(41A)) provided to the debtor
by individuals in connection with
obtaining a product or service from
the debtor primarily for personal,
family, or household purposes.

X

25. Automobiles, trucks, trailers, and
other vehicles and accessories.
26. Boats, motors, and accessories.

X

27. Aircraft and accessories.

X

28. Office equipment, furnishings, and
supplies.
29. Machinery, fixtures, equipment, and
supplies used in business.

X

30. Inventory.

X

31. Animals.

X

32. Crops - growing or harvested. Give
particulars.

X

33. Farming equipment and
implements.

X

34. Farm supplies, chemicals, and feed.

X

35. Other personal property of any kind
not already listed. Itemize.

Description and Location of Property

Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption

2001 HONDA CIVIC LX - 30,000 MILES

-

4,750.00

3 METAL FILING CABINETS IN STORAGE

-

30.00

Manuscript written by Debtor (rejected by
numerous publishers)

-

Unknown

Sheet 2 of 2
continuation sheets attached
to the Schedule of Personal Property
Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Sub-Total >
(Total of this page)
Total >

4,780.00
10,952.00

(Report also on Summary of Schedules)
Best Case Bankruptcy

Case 09-16110-elf

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B6C (Official Form 6C) (12/07)

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In re

Candice Conn

,

Case No.

Debtor

SCHEDULE C - PROPERTY CLAIMED AS EXEMPT
Debtor claims the exemptions to which debtor is entitled under:
(Check one box)
11 U.S.C. §522(b)(2)
11 U.S.C. §522(b)(3)
Description of Property

Check if debtor claims a homestead exemption that exceeds
$136,875.

Value of
Claimed
Exemption

Specify Law Providing
Each Exemption

Checking, Savings, or Other Financial Accounts, Certificates of Deposit
Savings Account - Wachovia Bank P.O. Box
11 U.S.C. § 522(d)(5)
40031, Roanoke, VA 2401-0031 - ACCT. ENDING
9264

Current Value of
Property Without
Deducting Exemption

1,772.00

1,772.00

11 U.S.C. § 522(d)(5)

600.00

600.00

Household Goods and Furnishings
Househod Goods, furniture, computer & printer

11 U.S.C. § 522(d)(3)

0.00

2,300.00

Wearing Apparel
CLOTHING

11 U.S.C. § 522(d)(5)

1,000.00

1,000.00

Furs and Jewelry
Miscellaneous jewelry

11 U.S.C. § 522(d)(4)

500.00

500.00

100%

Unknown

11 U.S.C. § 522(d)(2)
11 U.S.C. § 522(d)(5)

3,450.00
1,300.00

4,750.00

11 U.S.C. § 522(d)(5)

0.00

30.00

Other Personal Property of Any Kind Not Already Listed
Manuscript written by Debtor (rejected by
11 U.S.C. § 522(d)(5)
numerous publishers)

Unknown

Unknown

8,622.00

10,952.00

WACHOVIA CHECKING - REGIONAL SERVICE
CENTER, PO BOX 40031, ROANOKE, VA
24022-0031 - ACCT. ENDING 1663

Other Contingent and Unliquidated Claims of Every Nature
Potential personal injury law suit.
11 U.S.C. § 522(d)(11)(D)
Automobiles, Trucks, Trailers, and Other Vehicles
2001 HONDA CIVIC LX - 30,000 MILES

Office Equipment, Furnishings and Supplies
3 METAL FILING CABINETS IN STORAGE

Total:
0

continuation sheets attached to Schedule of Property Claimed as Exempt

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

Case 09-16110-elf

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Page 13 of 51


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B6D (Official Form 6D) (12/07)

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In re

Candice Conn

Case No.

,
Debtor

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property of the debtor as of
the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided
if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and
other security interests.
List creditors in alphabetical order to the extent practicable. If a minor child is a creditor, the child's initials and the name and address of the child's parent or
guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). If all secured
creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor" ,include the entity on the appropriate
schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community".
If the claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column labeled "Unliquidated". If the
claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one of these three columns.)
Total the columns labeled "Amount of Claim Without Deducting Value of Collateral" and "Unsecured Portion, if Any" in the boxes labeled "Total(s)" on the last
sheet of the completed schedule. Report the total from the column labeled "Amount of Claim" also on the Summary of Schedules and, if the debtor is an individual with
primarily consumer debts, report the total from the column labeled "Unsecured Portion" on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.

CREDITOR'S NAME
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community

DATE CLAIM WAS INCURRED,
NATURE OF LIEN, AND
DESCRIPTION AND VALUE
OF PROPERTY
SUBJECT TO LIEN

H
W
J
C

Account No.

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL

UNSECURED
PORTION, IF
ANY

0.00

0.00

Value $
Account No.

Value $
Account No.

Value $
Account No.

Value $
0
_____
continuation sheets attached

Subtotal
(Total of this page)
Total
(Report on Summary of Schedules)

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 14 of 51


Desc Main


B6E (Official Form 6E) (12/07)

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In re

Candice Conn

,

Case No.

Debtor

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitled
to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of the
account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separate
continuation sheet for each type of priority and label each with the type of priority.
The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do
so. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian."
Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate
schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the
column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled
"Disputed." (You may need to place an "X" in more than one of these three columns.)
Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule E in the box labeled
"Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.
Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to priority
listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this total
also on the Statistical Summary of Certain Liabilities and Related Data.
Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled to
priority listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this
total also on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.

TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
Domestic support obligations
Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, or responsible relative
of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. § 507(a)(1).

Extensions of credit in an involuntary case
Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a
trustee or the order for relief. 11 U.S.C. § 507(a)(3).

Wages, salaries, and commissions
Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales
representatives up to $10,950* per person earned within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever
occurred first, to the extent provided in 11 U.S.C. § 507(a)(4).

Contributions to employee benefit plans
Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business,
whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(5).

Certain farmers and fishermen
Claims of certain farmers and fishermen, up to $5,400* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. § 507(a)(6).

Deposits by individuals
Claims of individuals up to $2,425* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not
delivered or provided. 11 U.S.C. § 507(a)(7).

Taxes and certain other debts owed to governmental units
Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. § 507(a)(8).

Commitments to maintain the capital of an insured depository institution
Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors of the Federal
Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. § 507 (a)(9).

Claims for death or personal injury while debtor was intoxicated
Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or
another substance. 11 U.S.C. § 507(a)(10).

* Amounts are subject to adjustment on April 1, 2010, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

0
Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

continuation sheets attached
Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 15 of 51


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B6F (Official Form 6F) (12/07)

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In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the
debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the
trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child's
parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Do not
include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate
schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."
If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the
claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)
Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of
Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. xxxx-xxxxxx-x1005
American Express
PO Box 297879
Fort Lauderdale, FL 33329-7879

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
past five years
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

12,808.40
Account No. xxxx-xxxxxx-x2001
American Express
PO Box 297879
Fort Lauderdale, FL 33329-7879

past five years
Credit card purchases
-

57,532.90
Account No. xxxx xxxxxx-x1006
American Express
PO Box 297879
Fort Lauderdale, FL 33329-7879

past five years
Credit card purchases
-

18,158.66
Account No. xxxx-xxxxxx-x2008
American Express
PO Box 297879
Fort Lauderdale, FL 33329-7879

past five years
Credit card purchases
-

2,734.62
_____
11 continuation sheets attached

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

S/N:38870-090811

91,234.58

Best Case Bankruptcy

Case 09-16110-elf

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Page 16 of 51


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B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. xxxx-xxxxxx-x1005
American Express Attn: GC Services
Limited Partnership
Collection Agency Div.
6330 Gulfton
Houston, TX 77081

For Notice Purposes Only

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

0.00
For Notice Purposes Only

-

0.00

Account No. 1005
American Express Attn: Law Office of
Edwin A. Abrahamsen & Assoc.
1729 Pittston Avenue
Scranton, PA 18505-4514

U
N
L
I
Q
U
I
D
A
T
E
D

-

Account No. xxxx-xxxxxx-x2001
American Express Attn: GC Services
Limited Partnership
Collection Agency Div.
6330 Gulfton
Houston, TX 77081

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.

C
O
N
T
I
N
G
E
N
T

For Notice Purposes Only

-

0.00
past five years
For Notice Purposes Only

Account No.
American Express Attn: NCO
Financial
Systems, Inc.
507 Prudential Road
Horsham, PA 19044

-

0.00

Account No. 2001
American Express Attn: Jaffe & Asher
600 Third Avenue
New York, NY 10016-1901

For Notice Purposes Only

-

0.00
Sheet no. _____
of _____
1
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

0.00

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

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Document
Page 17 of 51


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B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 1006
American Express Attn: Zwicker &
Assoc.
80 Minuteman Rd
Andover, MA 01810-1031

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
For Notice Purposes Only

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

0.00
Account No. 2001
American Express Centurion Bank
Attn: Law Offices of Burton Neil &
Asso
1060 Andrew Drive, Suite 170
West Chester, PA 19380

For Notice Purposes Only

-

0.00

Account No. 1006
American Express Centurion Bank
Attn:
Jordan W. Felzer, Esquire
Apothaker & Associates, PC
520 Fellowshio Road, Suite C306
Mount Laurel, NJ 08054
Account No. 2008
American Express Travel Attn:
Nationwide Credit, Inc.
PO Box 740640
Atlanta, GA 30374-0640

For Notice Purposes Only

-

0.00
For Notice Purposes Only

-

0.00
Account No. 9442
Bank of America
PO Box 15726
Wilmington, DE 19886-5726

past five years
Credit card purchases
-

16,206.11
Sheet no. _____
of _____
2
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

16,206.11

Best Case Bankruptcy

Case 09-16110-elf

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Document
Page 18 of 51


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B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 6664
Bank of America
P.O. Box 15726
Wilmington, DE 19886-5726

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
past five years
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

39,542.61
Account No. 6591
Bank of America Attn: Firstsource
6341 Inducon Drive East
Sanborn, NY 14132-9097

For Notice Purposes Only

-

0.00
Account No. 7218
Bank of America Attn: Sunrise Credit
Services, Inc.
260 Airport Plaza
PO Box 11735-9100
Farmingdale, NY 11735-9100

For Notice Purposes Only

-

0.00

Account No. 0004
Barneys New York
PO Box 9230
Uniondale, NY 11555-9230

past five years
Credit card purchases
-

3,956.62
Account No. 0004
Barneys NY Attn: Law Office of
Edward M. Schatz
734 Franklin Ave. #144
Garden City, NY 11530

For Notice Purposes Only

-

0.00
Sheet no. _____
of _____
3
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

43,499.23

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 19 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 0236
Bergdorf Goodman
PO Box 5235
Carol Stream, IL 60197-5235

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
past five years
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

5,640.35
Account No. 0236
Bergdorf Goodman attn: LVNV
Funding, LLC
Creditors Interchange
PO Box 1335
Buffalo, NY 14240-1335

For Notice Purposes Only

-

0.00

Account No. 8314
Bloomingdale's
9111 Duke Boulevard
Mason, OH 45040

past five years
Credit card purchases
-

X

1,082.83
Account No. 7218 and 6591
Bonded Collection Corp.
29 East Madison Street, Suite 1650
Chicago, IL 60602-4404

Collection Agent for Bank of America - For
Notice Purposes Only
-

0.00
Account No. 517805723175
Capital 1 Bank
Attn: C/O TSYS Debt Management
Po Box 5155
Norcross, GA 30091

Opened 6/01/08 Last Active 5/04/09
CreditCard purchases
-

962.00
Sheet no. _____
of _____
4
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

7,685.18

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 20 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 5178-0572-3175-9072
Capital One
P.O. Box 71083
Charlotte, NC 28272-1083

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
2008
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

976.77
Account No. 9009
Chase Card Services
P.O. Box 15153
Wilmington, DE 19886-5153

past five years
Credit card purchases
-

16,428.96
Account No. 4511
Chase Card Services
PO Box 15153
Wilmington, DE 19886-5153

Credit card purchases

-

6,530.13
Account No. 9009
Chase Card Services Attn: National
Enterprise Systems
29125 Solon Road
Solon, OH 44139-3442

2008
For Notice Purposes Only
-

0.00
Account No. 7678
Citibank
PO Box 6500
Sioux Falls, SD 57117-6500

Credit card purchases

-

26,189.25
Sheet no. _____
of _____
5
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

50,125.11

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 21 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 7678
Citibank Attn: GC Services Ltd.
PO Box 2667
Houston, TX 77252

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
For Notice Purposes Only

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

0.00
Account No. 8314
Client Services, Inc./Citicards
3451 Harry Truman Blvd.
Saint Charles, MO 63301-4047

For Notice Purposes Only

-

0.00
Account No. 9940
Collection
Attn: Bankrutpcy Department
Po Box 10587
Greenville, SC 29603

FactoringCompanyAccount Hsbc Bank Nev
Saks
-

46,644.00
Account No. 2031
Collection
Attn: Bankrutpcy Department
Po Box 10587
Greenville, SC 29603

FactoringCompanyAccount Hsbc Bank Nev
Neiman Marcus
-

14,691.00
Account No. 0236
Collection
Attn: Bankrutpcy Department
Po Box 10587
Greenville, SC 29603

FactoringCompanyAccount Hsbc Bank Nev
Bergdorf Goodman
-

5,822.00
Sheet no. _____
of _____
6
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

67,157.00

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 22 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 1319
Credit One Bank
P.O. Box 98873
Las Vegas, NV 89193

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

74.75
Account No. 4511
Creditors Financial Group, LLC
P.O. Box 440290
Aurora, CO 80044-0190

Collection Agent for Chase Bank - For Notice
Purposes Only
-

0.00
Account No. 1514
Discover Card
PO Box 71084
Charlotte, NC 28272-1084

Credit card purchases

-

13,711.84
Account No. 9940
Financial Recovery Services, Inc.
P.O. Box 385906
Minneapolis, MN 55438-5906

Collection Agent for Saks - For Notice
Purposes Only
-

0.00
Account No. 8074
JCC and Assoc.
P.O. Box 519
Sauk Rapids, MN 56379

Colleciton Agent for Nordstrom FSB-Visa For
Notice Purposes Only
-

0.00
Sheet no. _____
of _____
7
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

13,786.59

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 23 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 9142
JEFFERSON UNIVERSITY
PHYSICIANS
CENTRAL BUSINESS OFFICE
PO BOX 40089
Philadelphia, PA 19106-0089

4/27/09
Medical Bill

AMOUNT OF CLAIM

4/27/09
Medical Bills
-

3,125.00
4/28/09
Medical Bill
-

1,175.00

Account No. 8546
Lord and Taylor
PO Box 960035
Orlando, FL 32896-0035

D
I
S
P
U
T
E
D

625.00

Account No. 2970
JEFFERSON UNIVERSITY
PHYSICIANS
CENTRAL BUSINESS OFFICE
PO BOX 40089
Philadelphia, PA 19106-0089

U
N
L
I
Q
U
I
D
A
T
E
D

-

Account No. 1790
JEFFERSON UNIVERSITY
PHYSICIANS
CENTRAL BUSINESS OFFICE
PO BOX 40089
Philadelphia, PA 19106-0089

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.

C
O
N
T
I
N
G
E
N
T

Credit card purchases

-

421.00
Account No. 8546
Lord and Taylor Attn: Penncro
Associates, Inc.
PO Box 538
Oaks, PA 19456

2008
For Notice Purposes Only
-

0.00
Sheet no. _____
of _____
8
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

5,346.00

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 24 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 6950
Macy's
PO Box 183083
Columbus, OH 43218-3083

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
2008
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

254.77
Account No. 4735
Macy's
PO Box 689194
Des Moines, IA 50368-9194

Credit card purchases

-

782.12
Account No. 4820
Macys/fdsb
Macy's Bankruptcy
Po Box 8053
Mason, OH 45040

Opened 10/01/04 Last Active 10/07/05
ChargeAccount
-

0.00
For Notice Purposes Only

Account No.
National Enterprises Systems
29125 Solon Road
Solon, OH 44139-3442

-

0.00
Account No.
NCO Financial Systems, Inc.
507 Prudential Road
Horsham, PA 19044

Colleciton Agent for Citibank - For Notice
purposes Only
-

0.00
Sheet no. _____
of _____
9
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

1,036.89

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 25 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 2031
Neiman Marcus
P.O. Box 729080
Dallas, TX 75372-9080

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

14,792.15
Account No. 2031
Neiman Marcus attn:Firstsource
Advantage
205 Bryant Woods Sourth
Amherst, NY 14228

For Notice Purposes Only

-

0.00
Account No. 8839
Nordstrom Attn: Creditors Financial
Group, LLC
P.O. Box 440290
Aurora, CO 80044-0290

For Notice Purposes Only

-

0.00
Account No. 8839
Nordstrom FSB Colorodo SVC Ctr.
PO Box 6587
Englewood, CO 80155-6587

Credit card purchases

-

12,120.31
Account No.
Protocol Recovery Services, Inc.
509 Mercer Avenue
Panama City, FL 32401

Collection Agent for Discover Card - For
Notice Purposes Only
-

0.00
Sheet no. _____
10 of _____
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

26,912.46

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 26 of 51


Desc Main


B6F (Official Form 6F) (12/07) - Cont.

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)

CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)

C
O
D
E
B
T
O
R

Husband, Wife, Joint, or Community
H
W
J
C

Account No. 9940
Saks Fifth Avenue
P.O. Box 17157
Baltimore, MD 21297-1157

DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
Credit card purchases

C
O
N
T
I
N
G
E
N
T

U
N
L
I
Q
U
I
D
A
T
E
D

D
I
S
P
U
T
E
D

AMOUNT OF CLAIM

-

45,183.64
Account No. 9940
Saks Fifth Avenue Attn: HSBC
Retail Services
PO Box 5244
Carol Stream, IL 60197-5244

For Notice Purposes Only

-

0.00
Account No. 9940
Saks Fifth Avenue Attn: Viking
Collection Service, Inc.
P.O. Box 59207
Minneapolis, MN 55459-0207

For Notice Purposes Only

-

0.00
For Notice Purposes Only

Account No.
Valentine & Kerbartas, Inc.
P.O. Box 325
Lawrence, MA 01842

-

0.00
Account No. 6672
Wfnnb/henri Bendel
Po Box 182129
Columbus, OH 43218

Opened 4/01/00 Last Active 3/10/08
ChargeAccount
-

0.00
Sheet no. _____
11 of _____
11 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims

Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Subtotal
(Total of this page)

45,183.64

Total
(Report on Summary of Schedules)

368,172.79

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 27 of 51


Desc Main


B6G (Official Form 6G) (12/07)

a
}
n
b
d
k
1
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e
c
x
h
p
i
r
u
l
L
G
s
E
t
o
y
C

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests. State nature
of debtor's interest in contract, i.e., "Purchaser", "Agent", etc. State whether debtor is the lessor or lessee of a lease. Provide the names and
complete mailing addresses of all other parties to each lease or contract described. If a minor child is a party to one of the leases or contracts,
state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Check this box if debtor has no executory contracts or unexpired leases.
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract

Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.

0
continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases
Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 28 of 51


Desc Main


B6H (Official Form 6H) (12/07)

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b
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1
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S
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e
d
u
l
H
C
o
t
r
s

In re

Candice Conn

,

Case No.

Debtor

SCHEDULE H - CODEBTORS
Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed
by debtor in the schedules of creditors. Include all guarantors and co-signers. If the debtor resides or resided in a community property state,
commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or
Wisconsin) within the eight year period immediately preceding the commencement of the case, identify the name of the debtor's spouse and of
any former spouse who resides or resided with the debtor in the community property state, commonwealth, or territory. Include all names used
by the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or a creditor,
state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Check this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR

NAME AND ADDRESS OF CREDITOR

0
continuation sheets attached to Schedule of Codebtors
Copyright (c) 1996-2009 - Best Case Solutions - Evanston, IL - (800) 492-8037

Best Case Bankruptcy

Case 09-16110-elf

Doc 1

B6I (Official Form 6I) (12/07)

In re

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 29 of 51


Candice Conn

Desc Main


Case No.
Debtor(s)

SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S)
The column labeled "Spouse" must be completed in all cases filed by joint debtors and by every married debtor, whether or not a joint petition is
filed, unless the spouses are separated and a joint petition is not filed. Do not state the name of any minor child. The average monthly income
calculated on this form may differ from the current monthly income calculated on Form 22A, 22B, or 22C.
DEPENDENTS OF DEBTOR AND SPOUSE

Debtor's Marital Status:
RELATIONSHIP(S):

Single
Employment:
Occupation
Name of Employer
How long employed
Address of Employer

AGE(S):

None.
DEBTOR

SPOUSE

Writer
Unemployed

INCOME: (Estimate of average or projected monthly income at time case filed)
1. Monthly gross wages, salary, and commissions (Prorate if not paid monthly)
2. Estimate monthly overtime

$
$

DEBTOR
0.00
0.00

$
$

SPOUSE
N/A
N/A

3. SUBTOTAL

$

0.00

$

N/A

$
$
$
$
$

0.00
0.00
0.00
0.00
0.00

$
$
$
$
$

N/A
N/A
N/A
N/A
N/A

5. SUBTOTAL OF PAYROLL DEDUCTIONS

$

0.00

$

N/A

6. TOTAL NET MONTHLY TAKE HOME PAY

$

0.00

$

N/A

7. Regular income from operation of business or profession or farm (Attach detailed statement)
8. Income from real property
9. Interest and dividends
10. Alimony, maintenance or support payments payable to the debtor for the debtor's use or that of
dependents listed above
11. Social security or government assistance
(Specify):

$
$
$

0.00
0.00
0.00

$
$
$

N/A
N/A
N/A

$

0.00

$

N/A

$
$
$

0.00
0.00
0.00

$
$
$

N/A
N/A
N/A

$
$

0.00
0.00

$
$

N/A
N/A

14. SUBTOTAL OF LINES 7 THROUGH 13

$

0.00

$

N/A

15. AVERAGE MONTHLY INCOME (Add amounts shown on lines 6 and 14)

$

0.00

$

N/A

4. LESS PAYROLL DEDUCTIONS
a. Payroll taxes and social security
b. Insurance
c. Union dues
d. Other (Specify):

12. Pension or retirement income
13. Other monthly income
(Specify):

0.00
$
16. COMBINED AVERAGE MONTHLY INCOME: (Combine column totals from line 15)
(Report also on Summary of Schedules and, if applicable, on
Statistical Summary of Certain Liabilities and Related Data)
17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:

Case 09-16110-elf
B6J (Official Form 6J) (12/07)

In re

Doc 1

Filed 08/17/09 Entered 08/17/09 13:11:23
Document
Page 30 of 51

Candice Conn

Desc Main

Case No.
Debtor(s)

SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)
Complete this schedule by estimating the average or projected monthly expenses of the debtor and the debtor's family at time case
filed. Prorate any payments made bi-weekly, quarterly, semi-annually, or annually to show monthly rate. The average monthly
expenses calculated on this form may differ from the deductions from income allowed on Form 22A or 22C.
Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of
expenditures labeled "Spouse."
1. Rent or home mortgage payment (include lot rented for mobile home)
a. Are real estate taxes included?
Yes
No X
b. Is property insurance included?
Yes
No X
2. Utilities:
a. Electricity and heating fuel
b. Water and sewer
c. Telephone
d. Other See Detailed Expense Attachment
3. Home maintenance (repairs and upkeep)
4. Food
This monthly rent was knowingly falsified
5. Clothing
6. Laundry and dry cleaning
by debtor by giving her Mother checks for
7. Medical and dental expenses
brief successive periods and coercing her
8. Transportation (not including car payments)
for immediate return of the funds, in order
9. Recreation, clubs and entertainment, newspapers, magazines, etc.
to document to the court a "rent"
10. Charitable contributions
11. Insurance (not deducted from wages orexpenditure.
included in home
mortgage payments)
Mother's
Bank records
a. Homeowner's or renter's
(Enclosure (2)) illustrate such.
b. Life
c. Health
d. Auto
e. Other
12. Taxes (not deducted from wages or included in home mortgage payments)
(Specify)
13. Installment payments: (In chapter 11, 12, and 13 cases, do not list payments to be included in the
plan)
a. Auto
b. Other
c. Other
14. Alimony, maintenance, and support paid to others
15. Payments for support of additional dependents not living at your home
16. Regular expenses from operation of business, profession, or farm (attach detailed statement)
17. Other
Other

$

800.00

$
$
$
$
$
$
$
$
$
$
$
$

0.00
0.00
150.00
290.00
10.00
400.00
20.00
50.00
175.00
150.00
20.00
0.00

$
$
$
$
$

0.00
0.00
0.00
147.00
0.00

$

0.00

$
$
$
$
$
$
$
$

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

18. AVERAGE MONTHLY EXPENSES (Total lines 1-17. Report also on Summary of Schedules and,
if applicable, on the Statistical Summary of Certain Liabilities and Related Data.)
19. Describe any increase or decrease in expenditures reasonably anticipated to occur within the year
following the filing of this document:

$

2,212.00

$
$
$

0.00
2,212.00
-2,212.00

20. STATEMENT OF MONTHLY NET INCOME
a. Average monthly income from Line 15 of Schedule I
b. Average monthly expenses from Line 18 above
c. Monthly net income (a. minus b.)

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B6J (Official Form 6J) (12/07)

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Case No.
Debtor(s)

SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)
Detailed Expense Attachment
Other Utility Expenditures:
EARTHLINK EMAIL PROVIDER
STORAGE

$
$

10.00
280.00

Total Other Utility Expenditures

$

290.00

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United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn
Debtor(s)

Case No.
Chapter

7

DECLARATION CONCERNING DEBTOR'S SCHEDULES
DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

26

I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of
sheets, and that they are true and correct to the best of my knowledge, information, and belief.

Date August 17, 2009

Signature

/s/ Candice Conn
Candice Conn

Debtor
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.
18 U.S.C. §§ 152 and 3571.

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B7 (Official Form 7) (12/07)

United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn
Debtor(s)

Case No.
Chapter

7

STATEMENT OF FINANCIAL AFFAIRS
This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for
both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or
not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole
proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such
activities as well as the individual's personal affairs. To indicate payments, transfers and the like to minor children, state the child's initials and the
name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11
U.S.C. § 112; Fed. R. Bankr. P. 1007(m).
Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete
Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer
to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.
DEFINITIONS
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in
business" for the purpose of this form if the debtor is or has been, within six years immediately preceding the filing of this bankruptcy case, any of
the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner,
other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor also may be "in business"
for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement income from the
debtor's primary employment.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;
corporations of which the debtor is an officer, director, or person in control; officers, directors, and any owner of 5 percent or more of the voting or
equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11
U.S.C. § 101.
__________________________________________
1. Income from employment or operation of business
None

State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's
business, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendar
year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this
calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may
report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income for
each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint
petition is filed, unless the spouses are separated and a joint petition is not filed.)
AMOUNT
$0.00

SOURCE
2009 YTD

$25.00

2008 Taxable interest income

$86.00

2007 Taxable interest income

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2. Income other than from employment or operation of business
None

State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business
during the two years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income for
each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint
petition is filed, unless the spouses are separated and a joint petition is not filed.)
AMOUNT

SOURCE

3. Payments to creditors
None

Complete a. or b., as appropriate, and c.
a. Individual or joint debtor(s) with primarily consumer debts. List all payments on loans, installment purchases of goods or services,
and other debts to any creditor made within 90 days immediately preceding the commencement of this case unless the aggregate value
of all property that constitutes or is affected by such transfer is less than $600. Indicate with an (*) any payments that were made to a
creditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved
nonprofit budgeting and creditor counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by
either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS
OF CREDITOR
None

DATES OF
PAYMENTS

AMOUNT STILL
OWING

b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days
immediately preceding the commencement of the case unless the aggregate value of all property that constitutes or is affected by such
transfer is less than $5,475. If the debtor is an individual, indicate with an asterisk (*) any payments that were made to a creditor on
account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofit
budgeting and creditor counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or
both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR
None

AMOUNT PAID

DATES OF
PAYMENTS/
TRANSFERS

AMOUNT
PAID OR
VALUE OF
TRANSFERS

AMOUNT STILL
OWING

c. All debtors: List all payments made within one year immediately preceding the commencement of this case to or for the benefit of
creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR AND
RELATIONSHIP TO DEBTOR
Frances Conn

DATE OF PAYMENT
11/18/09

AMOUNT PAID
$18,000.00

AMOUNT STILL
OWING
$0.00

Mother
4. Suits and administrative proceedings, executions, garnishments and attachments
None

a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of
this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses
whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

CAPTION OF SUIT
AND CASE NUMBER
AMERICAN EXPRESS
CENTURION BANK vs.
CANDICE CONN
CASE # 081204268
11/22/2009

NATURE OF PROCEEDING
CONTRACT

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COURT OR AGENCY
AND LOCATION
COURT OF COMMON PLEAS
PHILADELPHIA COUNTY

STATUS OR
DISPOSITION
PENDING

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None

b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately
preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning
property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)

NAME AND ADDRESS OF PERSON FOR WHOSE
BENEFIT PROPERTY WAS SEIZED

DATE OF SEIZURE

DESCRIPTION AND VALUE OF
PROPERTY

5. Repossessions, foreclosures and returns
None

List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or
returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12
or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF
CREDITOR OR SELLER

DATE OF REPOSSESSION,
FORECLOSURE SALE,
TRANSFER OR RETURN

DESCRIPTION AND VALUE OF
PROPERTY

6. Assignments and receiverships
None

a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of
this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a
joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF ASSIGNEE
None

DATE OF
ASSIGNMENT

TERMS OF ASSIGNMENT OR SETTLEMENT

b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately
preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning
property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)

NAME AND ADDRESS
OF CUSTODIAN

NAME AND LOCATION
OF COURT
CASE TITLE & NUMBER

DATE OF
ORDER

DESCRIPTION AND VALUE OF
PROPERTY

7. Gifts
None

List all gifts or charitable contributions made within one year immediately preceding the commencement of this case except ordinary
and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions
aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by
either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF
PERSON OR ORGANIZATION

RELATIONSHIP TO
DEBTOR, IF ANY

DATE OF GIFT

DESCRIPTION AND
VALUE OF GIFT

8. Losses
None

List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or
since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

DESCRIPTION AND VALUE
OF PROPERTY

DESCRIPTION OF CIRCUMSTANCES AND, IF
LOSS WAS COVERED IN WHOLE OR IN PART
BY INSURANCE, GIVE PARTICULARS

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DATE OF LOSS

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9. Payments related to debt counseling or bankruptcy
None

List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation
concerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy within one year immediately
preceding the commencement of this case.

NAME AND ADDRESS
OF PAYEE
MAUREEN P. STEADY
12000 LINCOLN DRIVE, WEST
SUITE 208
Marlton, NJ 08053

DATE OF PAYMENT,
NAME OF PAYOR IF OTHER
THAN DEBTOR
1/19/09

DAVID SMITH
WWW.INCHARGE.COM

AMOUNT OF MONEY
OR DESCRIPTION AND VALUE
OF PROPERTY
$2,500 Retainer
$299 Filing Fee

$700.00
6/9/09

$30.00

10. Other transfers
None

a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,
transferred either absolutely or as security within two years immediately preceding the commencement of this case. (Married debtors
filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF TRANSFEREE,
RELATIONSHIP TO DEBTOR
Gabrielle Lee
233 South 6th Street Unit # 1309
Philadelphia, PA 19106
Arms Length Purchaser
None

DATE
11/18/09

DESCRIBE PROPERTY TRANSFERRED
AND VALUE RECEIVED
Condominium
$29,405.45
233 South 6th Street, Unit 1310F
Philadelphia, PA 19106

b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled
trust or similar device of which the debtor is a beneficiary.

NAME OF TRUST OR OTHER
DEVICE

DATE(S) OF
TRANSFER(S)

AMOUNT OF MONEY OR DESCRIPTION AND
VALUE OF PROPERTY OR DEBTOR'S INTEREST
IN PROPERTY

11. Closed financial accounts
None

List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or
otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other
financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,
cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must
include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed,
unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF INSTITUTION
PNC Bank

TYPE OF ACCOUNT, LAST FOUR
DIGITS OF ACCOUNT NUMBER,
AND AMOUNT OF FINAL BALANCE
Checking 5286

PNC Bank

Savings 7572

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AMOUNT AND DATE OF SALE
OR CLOSING
$9.68 - closed in or about
12/2008
$0.00 - closed in or about
12/2008

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12. Safe deposit boxes
None

List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year
immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or
depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)

NAME AND ADDRESS OF BANK
OR OTHER DEPOSITORY
PNC

NAMES AND ADDRESSES
OF THOSE WITH ACCESS
TO BOX OR DEPOSITORY
Debtor only

DESCRIPTION
OF CONTENTS
Documents

DATE OF TRANSFER OR
SURRENDER, IF ANY
in or about 12/2008

13. Setoffs
None

List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the
commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR

DATE OF SETOFF

AMOUNT OF SETOFF

14. Property held for another person
None

List all property owned by another person that the debtor holds or controls.

NAME AND ADDRESS OF OWNER

DESCRIPTION AND VALUE OF
PROPERTY

LOCATION OF PROPERTY

15. Prior address of debtor
None

If the debtor has moved within three years immediately preceding the commencement of this case, list all premises which the debtor
occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate
address of either spouse.

ADDRESS
233 South 6th Street, Iniut #1310F
Philadelphia, PA 19106

NAME USED
Candice Conn

DATES OF OCCUPANCY
12/2008 thru 11/18/09

210 Locust Street
Philadelphia, PA 19106

Candice Conn

11/18/09 thru 2/2009

16. Spouses and Former Spouses
None

If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho,
Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within eight years immediately preceding the
commencement of the case, identify the name of the debtor’s spouse and of any former spouse who resides or resided with the debtor in
the community property state.

NAME
17. Environmental Information.
For the purpose of this question, the following definitions apply:
"Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous
or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to,
statutes or regulations regulating the cleanup of these substances, wastes, or material.
"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly
owned or operated by the debtor, including, but not limited to, disposal sites.
"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material,
pollutant, or contaminant or similar term under an Environmental Law
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None

a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable
or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known,
the Environmental Law:

SITE NAME AND ADDRESS
None

DATE OF
NOTICE

ENVIRONMENTAL
LAW

b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous
Material. Indicate the governmental unit to which the notice was sent and the date of the notice.

SITE NAME AND ADDRESS
None

NAME AND ADDRESS OF
GOVERNMENTAL UNIT

NAME AND ADDRESS OF
GOVERNMENTAL UNIT

DATE OF
NOTICE

ENVIRONMENTAL
LAW

c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which
the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the
docket number.

NAME AND ADDRESS OF
GOVERNMENTAL UNIT

DOCKET NUMBER

STATUS OR DISPOSITION

18 . Nature, location and name of business
None

a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partner in a
partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time within six years
immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities
within six years immediately preceding the commencement of this case.
If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, within six
years immediately preceding the commencement of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within six
years immediately preceding the commencement of this case.

NAME
None

NAME

LAST FOUR DIGITS OF
SOCIAL-SECURITY OR
OTHER INDIVIDUAL
TAXPAYER-I.D. NO.
(ITIN)/ COMPLETE EIN

ADDRESS

NATURE OF BUSINESS

BEGINNING AND
ENDING DATES

b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. § 101.

ADDRESS

The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has
been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or
owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership, a sole
proprietor or self-employed in a trade, profession, or other activity, either full- or part-time.
(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,
within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go
directly to the signature page.)

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19. Books, records and financial statements
None

a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or
supervised the keeping of books of account and records of the debtor.

NAME AND ADDRESS
None

b. List all firms or individuals who within the two years immediately preceding the filing of this bankruptcy case have audited the books
of account and records, or prepared a financial statement of the debtor.

NAME
None

DATES SERVICES RENDERED

ADDRESS

DATES SERVICES RENDERED

c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records
of the debtor. If any of the books of account and records are not available, explain.

NAME
None

ADDRESS
d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was
issued by the debtor within two years immediately preceding the commencement of this case.

NAME AND ADDRESS

DATE ISSUED

20. Inventories
None

a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory,
and the dollar amount and basis of each inventory.

DATE OF INVENTORY
None

INVENTORY SUPERVISOR

DOLLAR AMOUNT OF INVENTORY
(Specify cost, market or other basis)

b. List the name and address of the person having possession of the records of each of the two inventories reported in a., above.

NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY
RECORDS

DATE OF INVENTORY

21 . Current Partners, Officers, Directors and Shareholders
None

a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.

NAME AND ADDRESS
None

NATURE OF INTEREST

PERCENTAGE OF INTEREST

b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns,
controls, or holds 5 percent or more of the voting or equity securities of the corporation.

NAME AND ADDRESS

TITLE

NATURE AND PERCENTAGE
OF STOCK OWNERSHIP

22 . Former partners, officers, directors and shareholders
None

a. If the debtor is a partnership, list each member who withdrew from the partnership within one year immediately preceding the
commencement of this case.

NAME
None

ADDRESS

DATE OF WITHDRAWAL

b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated within one year
immediately preceding the commencement of this case.

NAME AND ADDRESS

TITLE

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23 . Withdrawals from a partnership or distributions by a corporation
None

If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation
in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite during one year immediately preceding the
commencement of this case.

NAME & ADDRESS
OF RECIPIENT,
RELATIONSHIP TO DEBTOR

DATE AND PURPOSE
OF WITHDRAWAL

AMOUNT OF MONEY
OR DESCRIPTION AND
VALUE OF PROPERTY

24. Tax Consolidation Group.
None

If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated
group for tax purposes of which the debtor has been a member at any time within six years immediately preceding the commencement
of the case.

NAME OF PARENT CORPORATION

TAXPAYER IDENTIFICATION NUMBER (EIN)

25. Pension Funds.
None

If the debtor is not an individual, list the name and federal taxpayer identification number of any pension fund to which the debtor, as an
employer, has been responsible for contributing at any time within six years immediately preceding the commencement of the case.

NAME OF PENSION FUND

TAXPAYER IDENTIFICATION NUMBER (EIN)

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR
I declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto
and that they are true and correct.

Date August 17, 2009

Signature

/s/ Candice Conn
Candice Conn

Debtor
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. §§ 152 and 3571

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B8 (Form 8) (12/08)

United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn
Debtor(s)

Case No.
Chapter

7

CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
PART A - Debts secured by property of the estate. (Part A must be fully completed for EACH debt which is secured by
property of the estate. Attach additional pages if necessary.)
Property No. 1
Creditor's Name:

Describe Property Securing Debt:

-NONE-

Property will be (check one):
Surrendered

Retained

If retaining the property, I intend to (check at least one):
Redeem the property
Reaffirm the debt
Other. Explain
(for example, avoid lien using 11 U.S.C. § 522(f)).
Property is (check one):
Claimed as Exempt

Not claimed as exempt

PART B - Personal property subject to unexpired leases. (All three columns of Part B must be completed for each unexpired lease.
Attach additional pages if necessary.)
Property No. 1
Lessor's Name:

Describe Leased Property:

-NONE-

Lease will be Assumed pursuant to 11
U.S.C. § 365(p)(2):
YES
NO

I declare under penalty of perjury that the above indicates my intention as to any property of my estate securing a debt and/or
personal property subject to an unexpired lease.
Date August 17, 2009

Signature

/s/ Candice Conn
Candice Conn

Debtor

Software Copyright (c) 1996-2009 Best Case Solutions - Evanston, IL - (800) 492-8037

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United States Bankruptcy Court
Eastern District of Pennsylvania
Candice Conn

In re

Case No.
Chapter

Debtor(s)

7

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)
1.

2.

Pursuant to 11 U.S.C. § 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor and that
compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to
be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:
For legal services, I have agreed to accept

$

2,500.00

Prior to the filing of this statement I have received

$

2,500.00

Balance Due

$

0.00

The source of the compensation paid to me was:
Debtor

3.

Other (specify):

The source of compensation to be paid to me is:
Debtor

4.

Other (specify):

I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.
I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A
copy of the agreement, together with a list of the names of the people sharing in the compensation is attached.

5.

In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:
a.
b.
c.
d.

6.

Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy;
Preparation and filing of any petition, schedules, statement of affairs and plan which may be required;
Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;
[Other provisions as needed]

By agreement with the debtor(s), the above-disclosed fee does not include the following service:
Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or
any other adversary proceeding.
CERTIFICATION

I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in
this bankruptcy proceeding.
Dated:

August 17, 2009

Software Copyright (c) 1996-2009 Best Case Solutions - Evanston, IL - (800) 492-8037

/s/ Maureen P. Steady, Esquire
Maureen P. Steady, Esquire 79698
Maureen P. Steady, Esquire
12000 Lincoln Drive West
Suite 208
Marlton, NJ 08053
(856) 396-0540 Fax: (609) 482-8011
maureen.steady@gmail.com

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UNITED STATES BANKRUPTCY COURT
EASTERN DISTRICT OF PENNSYLVANIA
NOTICE TO CONSUMER DEBTOR(S) UNDER § 342(b)
OF THE BANKRUPTCY CODE
In accordance with § 342(b) of the Bankruptcy Code, this notice to individuals with primarily consumer debts: (1) Describes
briefly the services available from credit counseling services; (2) Describes briefly the purposes, benefits and costs of the four types of
bankruptcy proceedings you may commence; and (3) Informs you about bankruptcy crimes and notifies you that the Attorney General
may examine all information you supply in connection with a bankruptcy case.
You are cautioned that bankruptcy law is complicated and not easily described. Thus, you may wish to seek the advice of an
attorney to learn of your rights and responsibilities should you decide to file a petition. Court employees cannot give you legal advice.
Notices from the bankruptcy court are sent to the mailing address you list on your bankruptcy petition. In order to ensure that
you receive information about events concerning your case, Bankruptcy Rule 4002 requires that you notify the court of any changes in
your address. If you are filing a joint case (a single bankruptcy case for two individuals married to each other), and each spouse lists
the same mailing address on the bankruptcy petition, you and your spouse will generally receive a single copy of each notice mailed
from the bankruptcy court in a jointly-addressed envelope, unless you file a statement with the court requesting that each spouse
receive a separate copy of all notices.

1. Services Available from Credit Counseling Agencies
With limited exceptions, § 109(h) of the Bankruptcy Code requires that all individual debtors who file for bankruptcy
relief on or after October 17, 2005, receive a briefing that outlines the available opportunities for credit counseling and
provides assistance in performing a budget analysis. The briefing must be given within 180 days before the bankruptcy filing. The
briefing may be provided individually or in a group (including briefings conducted by telephone or on the Internet) and must be
provided by a nonprofit budget and credit counseling agency approved by the United States trustee or bankruptcy administrator. The
clerk of the bankruptcy court has a list that you may consult of the approved budget and credit counseling agencies. Each debtor in a
joint case must complete the briefing.
In addition, after filing a bankruptcy case, an individual debtor generally must complete a financial management
instructional course before he or she can receive a discharge. The clerk also has a list of approved financial management
instructional courses. Each debtor in a joint case must complete the course.

2. The Four Chapters of the Bankruptcy Code Available to Individual Consumer Debtors
Chapter 7: Liquidation ($245 filing fee, $39 administrative fee, $15 trustee surcharge: Total Fee $299)
1. Chapter 7 is designed for debtors in financial difficulty who do not have the ability to pay their existing debts. Debtors
whose debts are primarily consumer debts are subject to a "means test" designed to determine whether the case should be permitted to
proceed under chapter 7. If your income is greater than the median income for your state of residence and family size, in some cases,
creditors have the right to file a motion requesting that the court dismiss your case under § 707(b) of the Code. It is up to the court to
decide whether the case should be dismissed.
2. Under chapter 7, you may claim certain of your property as exempt under governing law. A trustee may have the right to
take possession of and sell the remaining property that is not exempt and use the sale proceeds to pay your creditors.
3. The purpose of filing a chapter 7 case is to obtain a discharge of your existing debts. If, however, you are found to have
committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny your discharge and, if it does, the
purpose for which you filed the bankruptcy petition will be defeated.
4. Even if you receive a general discharge, some particular debts are not discharged under the law. Therefore, you may still
be responsible for most taxes and student loans; debts incurred to pay nondischargeable taxes; domestic support and property
settlement obligations; most fines, penalties, forfeitures, and criminal restitution obligations; certain debts which are not properly listed
in your bankruptcy papers; and debts for death or personal injury caused by operating a motor vehicle, vessel, or aircraft while
intoxicated from alcohol or drugs. Also, if a creditor can prove that a debt arose from fraud, breach of fiduciary duty, or theft, or from
a willful and malicious injury, the bankruptcy court may determine that the debt is not discharged.

Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee,
$39 administrative fee: Total fee $274)
1. Chapter 13 is designed for individuals with regular income who would like to pay all or part of their debts in installments

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Page 2

over a period of time. You are only eligible for chapter 13 if your debts do not exceed certain dollar amounts set forth in the
Bankruptcy Code.
2. Under chapter 13, you must file with the court a plan to repay your creditors all or part of the money that you owe them,
using your future earnings. The period allowed by the court to repay your debts may be three years or five years, depending upon your
income and other factors. The court must approve your plan before it can take effect.
3. After completing the payments under your plan, your debts are generally discharged except for domestic support
obligations; most student loans; certain taxes; most criminal fines and restitution obligations; certain debts which are not properly
listed in your bankruptcy papers; certain debts for acts that caused death or personal injury; and certain long term secured obligations.

Chapter 11: Reorganization ($1000 filing fee, $39 administrative fee: Total fee $1039)
Chapter 11 is designed for the reorganization of a business but is also available to consumer debtors. Its provisions are quite
complicated, and any decision by an individual to file a chapter 11 petition should be reviewed with an attorney.

Chapter 12: Family Farmer or Fisherman ($200 filing fee, $39 administrative fee: Total fee $239)
Chapter 12 is designed to permit family farmers and fishermen to repay their debts over a period of time from future earnings
and is similar to chapter 13. The eligibility requirements are restrictive, limiting its use to those whose income arises primarily from a
family-owned farm or commercial fishing operation.

3. Bankruptcy Crimes and Availability of Bankruptcy Papers to Law Enforcement Officials
A person who knowingly and fraudulently conceals assets or makes a false oath or statement under penalty of perjury, either
orally or in writing, in connection with a bankruptcy case is subject to a fine, imprisonment, or both. All information supplied by a
debtor in connection with a bankruptcy case is subject to examination by the Attorney General acting through the Office of the United
States Trustee, the Office of the United States Attorney, and other components and employees of the Department of Justice.
WARNING: Section 521(a)(1) of the Bankruptcy Code requires that you promptly file detailed information regarding your creditors,
assets, liabilities, income, expenses and general financial condition. Your bankruptcy case may be dismissed if this information is not
filed with the court within the time deadlines set by the Bankruptcy Code, the Bankruptcy Rules, and the local rules of the court.

Certificate of Attorney
I hereby certify that I delivered to the debtor this notice required by § 342(b) of the Bankruptcy Code.
X /s/ Maureen P. Steady, Esquire
Signature of Attorney

Maureen P. Steady, Esquire 79698

Printed Name of Attorney
Address:

August 17, 2009

Date

12000 Lincoln Drive West
Suite 208
Marlton, NJ 08053
(856) 396-0540
maureen.steady@gmail.com

Certificate of Debtor
I (We), the debtor(s), affirm that I (we) have received and read this notice.
Candice Conn

Printed Name(s) of Debtor(s)

X /s/ Candice Conn
Signature of Debtor

Case No. (if known)

X
Signature of Joint Debtor (if any)

Software Copyright (c) 1996-2009 Best Case Solutions - Evanston, IL - (800) 492-8037

August 17, 2009

Date
Date

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United States Bankruptcy Court
Eastern District of Pennsylvania
In re

Candice Conn
Debtor(s)

Case No.
Chapter

7

VERIFICATION OF CREDITOR MATRIX

The above-named Debtor hereby verifies that the attached list of creditors is true and correct to the best of his/her knowledge.

Date:

August 17, 2009

/s/ Candice Conn
Candice Conn

Signature of Debtor

Software Copyright (c) 1996-2009 Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037

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}
b
k
1
{
C
r
e
d
i
t
o
A
s
M
a
x

American Express
PO Box 297879
Fort Lauderdale, FL 33329-7879

American Express Attn: GC Services
Limited Partnership
Collection Agency Div.
6330 Gulfton
Houston, TX 77081

American Express Attn: Law Office of
Edwin A. Abrahamsen & Assoc.
1729 Pittston Avenue
Scranton, PA 18505-4514

American Express Attn: NCO Financial
Systems, Inc.
507 Prudential Road
Horsham, PA 19044

American Express Attn: Jaffe & Asher
600 Third Avenue
New York, NY 10016-1901

American Express Attn: Zwicker & Assoc.
80 Minuteman Rd
Andover, MA 01810-1031

American Express Centurion Bank
Attn: Law Offices of Burton Neil & Asso
1060 Andrew Drive, Suite 170
West Chester, PA 19380

American Express Centurion Bank Attn:
Jordan W. Felzer, Esquire
Apothaker & Associates, PC
520 Fellowshio Road, Suite C306
Mount Laurel, NJ 08054

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American Express Travel Attn:
Nationwide Credit, Inc.
PO Box 740640
Atlanta, GA 30374-0640

Bank of America
PO Box 15726
Wilmington, DE 19886-5726

Bank of America
P.O. Box 15726
Wilmington, DE 19886-5726

Bank of America Attn: Firstsource
6341 Inducon Drive East
Sanborn, NY 14132-9097

Bank of America Attn: Sunrise Credit
Services, Inc.
260 Airport Plaza
PO Box 11735-9100
Farmingdale, NY 11735-9100

Barneys New York
PO Box 9230
Uniondale, NY 11555-9230

Barneys NY Attn: Law Office of
Edward M. Schatz
734 Franklin Ave. #144
Garden City, NY 11530

Bergdorf Goodman
PO Box 5235
Carol Stream, IL 60197-5235

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Bergdorf Goodman attn: LVNV Funding, LLC
Creditors Interchange
PO Box 1335
Buffalo, NY 14240-1335

Bloomingdale's
9111 Duke Boulevard
Mason, OH 45040

Bonded Collection Corp.
29 East Madison Street, Suite 1650
Chicago, IL 60602-4404

Capital 1 Bank
Attn: C/O TSYS Debt Management
Po Box 5155
Norcross, GA 30091

Capital One
P.O. Box 71083
Charlotte, NC 28272-1083

Chase Card Services
P.O. Box 15153
Wilmington, DE 19886-5153

Chase Card Services
PO Box 15153
Wilmington, DE 19886-5153

Chase Card Services Attn:
Enterprise Systems
29125 Solon Road
Solon, OH 44139-3442

Citibank
PO Box 6500
Sioux Falls, SD 57117-6500

National

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Citibank Attn: GC Services Ltd.
PO Box 2667
Houston, TX 77252

Client Services, Inc./Citicards
3451 Harry Truman Blvd.
Saint Charles, MO 63301-4047

Collection
Attn: Bankrutpcy Department
Po Box 10587
Greenville, SC 29603

Credit One Bank
P.O. Box 98873
Las Vegas, NV 89193

Creditors Financial Group, LLC
P.O. Box 440290
Aurora, CO 80044-0190

Discover Card
PO Box 71084
Charlotte, NC 28272-1084

Financial Recovery Services, Inc.
P.O. Box 385906
Minneapolis, MN 55438-5906

JCC and Assoc.
P.O. Box 519
Sauk Rapids, MN 56379

JEFFERSON UNIVERSITY PHYSICIANS
CENTRAL BUSINESS OFFICE
PO BOX 40089
Philadelphia, PA 19106-0089

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Lord and Taylor
PO Box 960035
Orlando, FL 32896-0035

Lord and Taylor Attn: Penncro
Associates, Inc.
PO Box 538
Oaks, PA 19456

Macy's
PO Box 183083
Columbus, OH 43218-3083

Macy's
PO Box 689194
Des Moines, IA 50368-9194

Macys/fdsb
Macy's Bankruptcy
Po Box 8053
Mason, OH 45040

National Enterprises Systems
29125 Solon Road
Solon, OH 44139-3442

NCO Financial Systems, Inc.
507 Prudential Road
Horsham, PA 19044

Neiman Marcus
P.O. Box 729080
Dallas, TX 75372-9080

Neiman Marcus attn:Firstsource Advantage
205 Bryant Woods Sourth
Amherst, NY 14228


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